| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $305.52 | $855.21 | $2,263.19 | |
Cigna
| Facility | $445.00 | $453.73 | $791.44 | |
Kaiser Permanente
| Professional | $564.75 | $728.53 | $960.77 | |
United
| Facility | $36.00 | $41.00 | $128.00 |